<!--
 * Copyright TLR Team, Inc. All Rights Reserved.
-->
<div class="tlr-assessment-container">
    <form class="form-horizontal">
        <div class="form-group">
            <div class="col-sm-12 tlr-split-line">
                <label class="col-sm-4 control-label">6.医疗和健康需求</label>
            </div>
        </div>
        <div class="tlr-table-layout">
            <table class="table table-bordered" style="font-size: 16px;">
                <thead>
                    <tr>
                        <th>请在下列“我的意见”选项中选择一项</th>
                        <th>我的意见</th>
                        <th>评估人员意见</th>
                        <th>最终结果</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td>这是我的医疗记录，包括所有健康状况、近期住院情况以及任何门诊治疗</td>
                        <td> <input type="radio" name="optionsRadios6_myview" id="optionsRadios" value="0"  ng-model="assessment.medicalHealth.myview"></td>
                        <td> <input type="radio" name="optionsRadios6_assist" id="optionsRadios" value="0"   ng-model="assessment.medicalHealth.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios6_descision" id="optionsRadios" value="0" ng-model="assessment.medicalHealth.agreeddecision"></td>
                    </tr>
                    <tr>
                        <td>组织活力——皮肤护理（任何必需的专业设备）</td>
                        <td> <input type="radio" name="optionsRadios6_myview" id="optionsRadios" value="1"  ng-model="assessment.medicalHealth.myview"></td>
                        <td> <input type="radio" name="optionsRadios6_assist" id="optionsRadios" value="1"   ng-model="assessment.medicalHealth.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios6_descision" id="optionsRadios" value="1" ng-model="assessment.medicalHealth.agreeddecision"></td>
            
                    </tr>
                    <tr>
                        <td>疼痛管理</td>
                        <td> <input type="radio" name="optionsRadios6_myview" id="optionsRadios" value="2"  ng-model="assessment.medicalHealth.myview"></td>
                        <td> <input type="radio" name="optionsRadios6_assist" id="optionsRadios" value="2"   ng-model="assessment.medicalHealth.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios6_descision" id="optionsRadios" value="2" ng-model="assessment.medicalHealth.agreeddecision"></td>
            
                    </tr>
                    <tr>
                        <td>我希望您能了解的我的生理和心理状况</td>
                        <td> <input type="radio" name="optionsRadios6_myview" id="optionsRadios" value="3"  ng-model="assessment.medicalHealth.myview"></td>
                        <td> <input type="radio" name="optionsRadios6_assist" id="optionsRadios" value="3"   ng-model="assessment.medicalHealth.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios6_descision" id="optionsRadios" value="3" ng-model="assessment.medicalHealth.agreeddecision"></td>
            
                    </tr>
                    <tr>
                        <td>让我顾虑或难过的事情</td>
                       <td> <input type="radio" name="optionsRadios6_myview" id="optionsRadios" value="4"  ng-model="assessment.medicalHealth.myview"></td>
                        <td> <input type="radio" name="optionsRadios6_assist" id="optionsRadios" value="4"   ng-model="assessment.medicalHealth.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios6_descision" id="optionsRadios" value="4" ng-model="assessment.medicalHealth.agreeddecision"></td>
            
                    </tr>
                    <tr>
                        <td>在我焦虑或难过时什么能让我感到好一点</td>
                        <td> <input type="radio" name="optionsRadios6_myview" id="optionsRadios" value="5"  ng-model="assessment.medicalHealth.myview"></td>
                        <td> <input type="radio" name="optionsRadios6_assist" id="optionsRadios" value="5"   ng-model="assessment.medicalHealth.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios6_descision" id="optionsRadios" value="5" ng-model="assessment.medicalHealth.agreeddecision"></td>
            
                    </tr>

                </tbody>
            </table>
        </div>
        <div class="tlr-form-layout">
            <div class="form-group">
                <label for="exampleInputEmail1" style="font-size: 16px;">医疗和健康需求 记录</label>
                <textarea class="form-control" rows="5" ng-model="assessment.medicalHealth.notes"></textarea>
            </div>
            <div class="form-group">
                <div class="col-sm-9">
                    <input class="btn btn-default" style="float: right;" type="button" value="下一页" ng-click="nextPage(7)">
                    <input class="btn btn-default" style="float: right; margin-right: 30px;" type="button" value="上一页" ng-click="prevPage(5)">
                </div>
            </div>
        </div>
    </form>
</div>
